| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.11 | $439.11 | $439.11 | |
Aetna
| Professional | $439.11 | $500.07 | $586.16 | |
BCBS
| Professional | $979.71 | $1,152.59 | $1,263.70 | |
Cigna
| Professional | $471.86 | $1,001.05 | $1,611.99 | |
Medica
| Facility | $439.11 | $683.69 | $937.26 | |
Medica
| Professional | $438.50 | $755.70 | $3,624.69 | |
United
| Professional | $438.50 | $693.54 | $987.98 |